精神分裂症门诊患者的控制信念、治疗关系与依从性：一项横断面研究。
Control beliefs, therapeutic relationship, and adherence in schizophrenia outpatients: a cross-sectional study.
作者信息
Jaeger Susanne, Weißhaupt Sabine, Flammer Erich, Steinert Tilman
机构信息
Department of Psychiatry and Psychotherapy I, Ulm University, ZfP Suedwuerttemberg, Health Services Research Unit, Weissenau, Germany.
出版信息
Am J Health Behav. 2014 Nov;38(6):914-23. doi: 10.5993/AJHB.38.6.13.
OBJECTIVES
To examine the interactions among the different dimensions of the health locus of control (HLC), the patient-doctor relationship and medication adherence in patients with schizophrenia.
METHODS
In a cross-sectional design, 69 chronically ill schizophrenia outpatients were assessed by established self-rating scales. The statistical analyses were based on multiple regression models.
RESULTS
Patients' ratings of the therapeutic relationship and the powerful others dimension of the HLC were significantly correlated with medication adherence. The effect of the powerful others HLC on adherence was mediated by therapeutic relationship.
CONCLUSIONS
A trustful working alliance between therapists and patients is supportive for medication adherence in patients with schizophrenia.
目的
探讨精神分裂症患者健康控制点（HLC）不同维度、医患关系与药物依从性之间的相互作用。
方法
采用横断面设计，通过既定的自评量表对69例慢性精神分裂症门诊患者进行评估。统计分析基于多元回归模型。
结果
患者对治疗关系的评分以及HLC中“有影响力的他人”维度与药物依从性显著相关。“有影响力的他人”HLC对依从性的影响通过治疗关系介导。
结论
治疗师与患者之间信任的工作联盟有助于精神分裂症患者的药物依从性。
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